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In this video an FY1 doctor has been called to assess and treat an unwell simulated patient on the medical ward. This video explores the extensive variety of human factors that influence the performance of health care professionals. These include individual, team, and task related factors in the wider context of the environment, the equipment used, the protocols followed and the culture of the organisation. Using the aviation SHELL model to explore these interactions, we can identify where the inhibit performance. (Civil Aviation Authority (2002). Fundamental Human Factors Concepts. CAP 719) This video is used by TSCSC to exemplify potential negative human factor influences on staff performance in a simulated healthcare environment. This video shows poor practice and the staff shown are acting out a script (this in no way represents their normal professional conduct). The content in no way represents safe medical practice, it should be used for human factors discussion only.